Ascites and incomplete small bowel obstruction

Case contributed by Dr Francis Fortin


Known metastatic ovarian cancer. Rule out small bowel obstruction.

Patient Data

Age: 60 years
Gender: Female

Abdominal X-Ray

Compared with the previous study (not included), there is diffuse intraperitoneal increased density indicating ascites in this patient with known peritoneal carcinomatosis secondary to ovarian cancer.

There are also air-fluid levels and a dilated small bowel up to 40 mm, strongly suggestive of small bowel obstruction.

Finally, there are bilateral pleural effusions with a chest tube on the right.

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Case information

rID: 34741
Published: 6th Mar 2015
Last edited: 23rd Jan 2018
Inclusion in quiz mode: Included

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